| NPI | 1033645031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HOOKS Gove RN Or 360-326-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |